Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastpark Dental LLC

Organization General Practice Dentistry · NPI 1679809974

Eastpark Dental LLC provides General Practice Dentistry in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5100 Eastpark Blvd Ste 110
Madison, WI 53718-2149 Not confirmed with CMS for 16 years — call before visiting
Phone: (608) 222-8232
Fax: (608) 222-8340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4943 (WI)

Record details

NPI number1679809974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karl Weaver — Dentist · (608) 222-8232
NPI enumeratedOctober 22, 2009
Last updated in NPPESOctober 22, 2009
Mailing address5100 Eastpark Blvd, Suite 110, Madison, WI 53718-2149

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